Camryn Yacks, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021165 Issued in OH

Practice address

4859 Nixon Park Dr
Mason, OH 45040-8106

Phone

(513) 653-2911

NPI assigned

Dec 8, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: camryn.yacks.p1@direct.beaconortho.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Orthopaedics & Sports Medicine LTD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Worthington, OH
  • NPI 1699472878
  NPD
• Beacon Orthopaedics & Sports Medicine, LTD

  • Specialist
  • Cincinnati, OH
  • NPI 1386670065

  Physical Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1821709924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 BAY HARBOR DR",
            "city": "MAINEVILLE",
            "state": "OH",
            "postal_code": "450399421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 NIXON PARK DR",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450408106",
            "telephone_number": "513-653-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YACKS",
        "first_name": "CAMRYN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Wuest, M.A., CCC-SLP
• Jessica Lynn Wulke, DPT
• Lindy McNabb Wyatt, M.D., PHD
• Amy Xie
• Sabrina Xie
• Yahweh Healthcare Solution
• Ayman F Yahya, PHARM.D
• Suma Yapamakula
• Renata Yashewski, DMD
• Jodi Yee, FNP-BC

• Physical Therapist in Mason, OH
• Providers in Mason, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.